Daytrana - Adhesive Backing Problems | ADHD Information

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Vivster,

A lot of us got a 40 patch free trial from our doctors.  Call your ped and see if they have it available.

We have been super happy with the results just not with the pain in application!

picrawf

This is from "Procrastinator" on the other thread "Daytrana Anyone"

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For those of you having trouble removing the backing from the patches, I have a new technique which is working really well about 80% of the time. It might be hard to visualize, but I'll do my best to describe it  in hopes it'll make sense.

(I'm using patches with a diagonal cut in the backing.)

First, I bend the patch back along the diagonal cut (in the direction it bends more easily).
 
Then while holding the patch taut in my hands, I rub my fingernail against the back of the adhesive side of the patch right in the corner where I want to start peeling. At this point, the corner of the backing usually starts to come up cleanly without me having to touch/pull it.

I then turn the patch around and do the same thumbnail rubbing on the other corner.

I then remove the backing from one side and apply it to my son's hip. Then I hold onto the other corner of the backing and remove it gradually, pressing each newly exposed area onto his hip.

I don't know if this description is clear enough for you all to know what I mean, but I swear, it really does work nearly every time.

--Debbie

This topic has been discussed a lot in the "Daytrana, Anyone" post but I thought maybe we should break it out. 

Let's discuss our issues, possible solutions, and encourage people to report to Shire so they can fix the problem.

We are using the 10mg patch which has a diagonal cut on the back.  Out of 14 days, we have had to trash two patches.  Several patches did not have the full adhesive but we used them anyway.  Since the drug is dispersed from the adhesive, I guess he did not get an optimal dosage that day.

I called Shire and reported it.  They recommend storing in a cool, dry place but not in the refrigerator.  I read another post of someone who had tried storing in the fridge and it delayed the release of the drug.  Shire also recommended bending it back and for then prying it from the middle rather than corners.  I guess that has worked a little better for us.  Another poster mentioned using sharp tweezers.  I will try that on our next patch.  We are applying half then trying to remove the other half.  It takes 8-10 minutes every morning!  By the way, we are in upstate SC.  Average summer temp was 90+, very humid.  We were the first customer at the pharmacy - the box had never been opened.

Any other suggestions?  and Please call and report your issues!

http://www.daytrana.com/  (800) 828-2088, option 1, M-F 8:30 am to 5:30 pm ET

On the other post I mentioned that i had spoken to the folks at Shire and they said that if the temp goes above 86 degrees then there are problems with the adhesive and backing.  

Hello Picrawf,

We just recently started medicating my six year old son for his ADHD after just the 2nd day of school. unfortunatly we were unable to reap too many benefits from Adderallxr because my son absolutly refuses to swallow the pill and freaks out when he notices the inside of the dipersd tablet in his pudding. (Trust me I have tried everything)  I spent last Friday in our Ped's office trying to coach Matthew to his meds. I later overheard the Dr. say to her nurse; "That poor mother"  Anyway we are now tryin 10 mg of the patch. However it continues to curl up and I am already seeing a regression in my son's behavior.  I know he is not receiving the full dosage.  I am really nervous for school tommorow.  We were really strating to see some light at the end of the tunnel, but with the patch's ineffectivenss I am concerend we might be back to square one.

Jennifer

Jennifer,

They also mentioned that you need to press directly on the patch for 30-40 seconds and smooth out any wrinkles/bumps.  On the other post, several people mentioned using bandaids or medical tape to hold it in place.  Make sure you are removing the backing from the inside of the patch so any adhesive that comes off will be on the interior and not the edges. 

Maybe he needs to bump up to 15mg?  We are seeing a 2 hour delay on the medicine's release.  He is definitely not as medicated but our afternoons and evenings have been wonderful.  He can actually sit at the dinner table (sort-of!).

Check out the other post - "Daytrana, Anyone".  It has a couple of weeks of posts and people's experiences.

Hope this helps!

Parker

Does anyone know if people are having more problems with the 10pk as opposed to the 30pk of vice versa? My son has been on the 10 and now the 15 mg patch for several weeks. We have and continue to have problems with the adhesive and so  we just put a large bandaid over it. He's doing fine with it. We tried all the above mentioned techniques to get it to stay on but nothing worked. The up side is that at 16 he can apply it himself thereby making him more independent and self-sufficient with his meds. I just have to remind him at the right time.We got a total of 14 patches so I am not sure if it came from a box of 10 then they added some or they split a box of 30.Susieb,

I don't have any experience with the 30 mg but we've had problems with the 10 and 15. Overall the 15 mg seems to be easier, though. Or maybe we're just getting good at peeling it off!

Just another tip for everyone - be careful about storing the patches on top of the fridge. Your fridge top has hot spots. 


We have used the 10s, 15s and 30s.  Tens had problems with adhesive sticking to the backing and the 30s are so long that they wrinkle.  Cutting the 30 works well and so does the 15.  It is important  to press the entire bandage with the palm of your hand for at least 30 seconds to get it to stick.

unless time release patches have changed over the last while I wouldn't cut them.  As with nicotine release patches cutting them causes leakage of the meds inside and doesn't half the dose.  What it does is prevent the absorbtion in a controlled way.

patches are sensitive to heat.  The chemical that alters the skin to allow absorbtion breaks down when hot and can stop working when frozen.  You may be able to store them in the fridge if you have a butter holder in the door.  You can set the temp in the butter drawer higher than anywhere else in there and can be a few degrees higher in some fridges. 

Although I haven't used these patches most likely it would be placed on the torso to ensure it works better.  Make sure it is on a spot that doesn't bend often wherever you put it.  Check for oily skin - a rub with an alcohol pad often helps ensure better contact and doesn't affect the use.  Even young kids can have fine but long hair on the torso and shaving the zones you use can help.  For ensuring the adhesive doesn't peel prematurely there are covering pads by the maker elastoplast with very sticky backing that can be cut to size and work fantastic.  I use them under my clothing at work on cuts and it never moves until I work it off later.  baby oil dabbed at the edges can help remove the adhesive later.  Mineral oil works too.

 

We just got our script for 10 mg daytrana.  Haven't picked it up.  I see that everyone is having problems with this.  GREAT!!  I was kind of hoping this would help.  My son was on 20 mg Ritalin ER.  The Doc put him on 10mg datrana.  Is this going to work?  The 20 was not enough.  Am I wasting money buying a months supply of 10mg datrana?